General Condition of the Patient

disease, heart, remarkable, features, erysipelas, especially and diabetes

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q. The conditions of albuminuria, pyuria, and diabetes, the characters of the sediments, and the effect of chemical reagents, will be afterwards noticed.

e. 1. The appetite becomes— a Excessive in diabetes.

13. Craving in mesenteric disease, or when intestinal worms exist. y. Depraved in hysteria—eating of chalk, cinders, slate-pencil, &c.

8. Fanciful in pregnancy; expressed as longings for certain articles; s. It is very variously altered in dyspepsia.

C. The name of bulimia has been applied to that condition which seems to consist in nothing more than extraordinary voracity.

e. 2. Thirst s. Is remarkably increased in diabetes.

O. It is very urgent in cholera, and also in a less degree in diarrhda.

y. Diuresis with uncommon thirst, when no sugar passes in the urine, is generally due to hysteria ; it is not attended with hunger.

Particular indications from Gaour II.

a. 1. Emaciation seems to affect s. More especially the arms and thorax hr phthisis, and the face least. R. The lower limbs and the face in abdominal disease.

y. It is most marked in the features in malignant disease.

a. 2. Local increase of bulk becomes remarkable s. When the upper half of the body is anasarcons and not the lower, or when one limb only is cedematous.

13. When the head is enlarged in chronic hydrocephalus.

7. When one side of the chest or the abdomen projects from effusion of flaid, or internal tumor.

b. 1. The aspect is often very significant.

s. A delicate appearance, with long fringed eyelashes, often serves to point out the tubercular diathesis.

p. The thickened also of the nose, and upper lip of scrofula are most marked in childhood.

y. The pallor 9f anaemia is very. important ; it is waxy in chlorosis, and pasty in diseases of the kidney.

8. A puffy appearance about the eyelids, along with anaemia, is very gene rally the indication of albuminuna.

F. The sallow hue of the malignant disease appears to be only another form of antemia.

C. The blue color, especially of the nose and lips, in heart disease and nic bronchitis, is equally remarkable, and forms a striking contrast to .

q. The dusky flush of pneumonia, or O. The hectic flush of phthisis.

x. The congested features and suffused eyes of typhus are exceedingly characteristic.

a. A bloated blotchy face generally indicates irregular habits of living.

ft. The features undergo remarkable change in erysipelas, parotitis, facial paralysis, &c.

b. 2. Expression.

a. The face is remarkably anxious in disease of the heart, and in urgent dyspncea, e. g., laryngitis.

fi. It is at the same time pinched and contracted when there is much pain or suffering, especially in a vital organ.

' y. Its immobility is most remarkable in catalepsy or in states of sciousness, and perhaps under the influence of spasm, as in tetanus.

E. The opposite states exist in nervousness and hysteria.

s. The expression of the countenance is most materially altered by the swelling of cedema or erysipelas. (Many of its characters have direct reference to the brain, in treating of which they will be further discussed.) c. Alterations of color.

a. The whiteness of the skin is remarkable in all the varieties of anemia already noticed, and contrasts strongly in limbs anasarcous from albumi nuria with those in which dropsy is connected with disease of the heart. It is also very striking in phlebitis(phlegmasia &Jens).

p. There is a certain yellowness of tile malignant aspect, which is diatin guished from jaundice by the pearly lustre of the eyes.

y. The yellowness of jaundice varies from a pale orange to a deep green yellow.

E. Redness of skin, when local, indicates congestion; when general, is more frequently due to measles or scarlatina, or simply to febrile heat. It is the marked characteristic of erysipelas, erythema, gout, and acute rheu matism.

E. The skin has a muddy hue in diseases of the spleen.

C. It becomes blue in Asiatic cholera; it is also blue in morbus wardens, and in forms of diseased heart and bronchitis.

v. It is livid in commencing gangrene ; and it might also sometimes be called livid in disease of the heart.

O. Spots and patches of discoloration are of value in recognising certain fevers, purpura and scurvy, colica pictonum, syphilis, and moat cutaneous affections.

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